VestibulOTherapy: Vestibular Impact on Learning

NCT ID: NCT05793216

Last Updated: 2023-03-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

15 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-03-07

Study Completion Date

2023-10-25

Brief Summary

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Research Question: Will daily engagement in activities tailored to the evidence-based vestibular research result in improved attention and learning outcomes for children ages 6-9 years of age after an 8-week classroom-based intervention?

Detailed Description

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"Vestibulotherapy" is an emerging frame of reference aiming to help neurotypical children with under-performing vestibular systems develop neural pathways supporting communication and learning.

Theory based upon systematic review: Given adequate vestibular activation through targeted activities (in an otherwise under-performing vestibular system), myelination and neuroplasticity propagate along learning pathways leading to greater neural connectivity and efficiency for sequencing, ordinance, attention, memory, body schema, spatial cognition, executive function, and interoception.

As a result of prescribed vestibular interventions and gained attributes supporting learning, students will experience increased academic growth and success as outlined by the following model.

Conditions

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Vestibular Disorder Educational Problems Attention Deficit Disorder

Keywords

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vestibular occupational therapy children educational outcomes

Study Design

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Allocation Method

NA

Intervention Model

SEQUENTIAL

This program involves a multiple baseline design for a group of students ages 6-9 years. The intervention will last for 8 weeks with educational outcomes monitored before, during, and after the intervention. With final reporting at 6 months post intervention.
Primary Study Purpose

OTHER

Blinding Strategy

NONE

Outcome measures will be reviewed by a neutral party to avoid bias.

Study Groups

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Classroom interventions

Students within five classrooms will engage in prescribed vestibular activities embedded within learning curricula to determine the impact of the intervention on learning outcomes, particularly memory, sequencing, attention, and ordinance related outcomes.

Group Type EXPERIMENTAL

VestibulOTherapy

Intervention Type BEHAVIORAL

For this study, the following activity-orientated interventions will occur within the natural learning environments so that generous opportunities exist for neural plasticity and growth.

Each student will be engaged in 20-30 minutes/day of intermittent classroom activities, plus 20-30- minutes of daily stability work embedded into classroom routines including stabilizing self on a Hokki stool or t-stool or standing on a balance board during sedentary work, such as circle time or read-a-loud.

Interventions

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VestibulOTherapy

For this study, the following activity-orientated interventions will occur within the natural learning environments so that generous opportunities exist for neural plasticity and growth.

Each student will be engaged in 20-30 minutes/day of intermittent classroom activities, plus 20-30- minutes of daily stability work embedded into classroom routines including stabilizing self on a Hokki stool or t-stool or standing on a balance board during sedentary work, such as circle time or read-a-loud.

Intervention Type BEHAVIORAL

Other Intervention Names

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occupational therapy

Eligibility Criteria

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Inclusion Criteria

* neurotypical development
* between the ages of 6-10 years of age
* performance challenges in school in the areas of math, spelling, organization, sequencing, attention, or engagement
* demonstrate attributes of vestibular dysfunction per the Vestibular Profile
* may have ADD or ADHD
* May have challenges with speech articulation
* good potential for learning and engaging in prescribed interventions

Exclusion Criteria

* Neurodiverse development (with the exception of ADHD or ADD)
* Absence of vestibular challenges
* Absence of learning challenges.
* unable to participate in interventions on a routine basis due to attendance or other limitations.
Minimum Eligible Age

6 Years

Maximum Eligible Age

10 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Wisconsin, La Crosse

OTHER

Sponsor Role collaborator

Boston University

OTHER

Sponsor Role collaborator

VestibulOTherapy

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Constance L Wall, OTD

Role: PRINCIPAL_INVESTIGATOR

Boston University

Locations

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School District of La Crosse

La Crosse, Wisconsin, United States

Site Status

Countries

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United States

References

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Besnard S, Tighilet B, Chabbert C, Hitier M, Toulouse J, Le Gall A, Machado ML, Smith PF. The balance of sleep: Role of the vestibular sensory system. Sleep Med Rev. 2018 Dec;42:220-228. doi: 10.1016/j.smrv.2018.09.001. Epub 2018 Sep 8.

Reference Type BACKGROUND
PMID: 30293919 (View on PubMed)

Hitier M, Besnard S, Smith PF. Vestibular pathways involved in cognition. Front Integr Neurosci. 2014 Jul 23;8:59. doi: 10.3389/fnint.2014.00059. eCollection 2014.

Reference Type BACKGROUND
PMID: 25100954 (View on PubMed)

Emami Kashfi T, Sohrabi M, Saberi Kakhki A, Mashhadi A, Jabbari Nooghabi M. Effects of a Motor Intervention Program on Motor Skills and Executive Functions in Children With Learning Disabilities. Percept Mot Skills. 2019 Jun;126(3):477-498. doi: 10.1177/0031512519836811. Epub 2019 Mar 16.

Reference Type BACKGROUND
PMID: 30879395 (View on PubMed)

Lopez C, Toupet M, van Nechel C, Bozorg Grayeli A. Editorial: Role of Inner Ear in Self and Environment Perception. Front Neurol. 2020 Feb 20;11:22. doi: 10.3389/fneur.2020.00022. eCollection 2020. No abstract available.

Reference Type BACKGROUND
PMID: 32153485 (View on PubMed)

Lotfi Y, Rezazadeh N, Moossavi A, Haghgoo HA, Rostami R, Bakhshi E, Badfar F, Farokhi Moghadam S, Sadeghi-Firoozabadi V, Khodabandelou Y. Rotational and Collic Vestibular-Evoked Myogenic Potential Testing in Normal Developing Children and Children With Combined Attention Deficit/Hyperactivity Disorder. Ear Hear. 2017 Nov/Dec;38(6):e352-e358. doi: 10.1097/AUD.0000000000000451.

Reference Type BACKGROUND
PMID: 28562425 (View on PubMed)

Mast FW, Preuss N, Hartmann M, Grabherr L. Spatial cognition, body representation and affective processes: the role of vestibular information beyond ocular reflexes and control of posture. Front Integr Neurosci. 2014 May 27;8:44. doi: 10.3389/fnint.2014.00044. eCollection 2014.

Reference Type BACKGROUND
PMID: 24904327 (View on PubMed)

Matuszkiewicz M, Galkowski T. Developmental Language Disorder and Uninhibited Primitive Reflexes in Young Children. J Speech Lang Hear Res. 2021 Mar 17;64(3):935-948. doi: 10.1044/2020_JSLHR-19-00423. Epub 2021 Feb 23.

Reference Type BACKGROUND
PMID: 33621124 (View on PubMed)

Melo RS, Lemos A, Paiva GS, Ithamar L, Lima MC, Eickmann SH, Ferraz KM, Belian RB. Vestibular rehabilitation exercises programs to improve the postural control, balance and gait of children with sensorineural hearing loss: A systematic review. Int J Pediatr Otorhinolaryngol. 2019 Dec;127:109650. doi: 10.1016/j.ijporl.2019.109650. Epub 2019 Aug 21.

Reference Type BACKGROUND
PMID: 31466025 (View on PubMed)

Other Identifiers

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03072023

Identifier Type: -

Identifier Source: org_study_id